Organization
VOLUSIA NEUROPSYCHOLOGY & BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA SUNDVALL MERILSON PSY.D. (PSYCHOLOGIST)
(386) 423-0442
Entity
Organization
Contact information
Practice address
221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL 32169-5298
(386) 423-0442
(386) 423-0402
Mailing address
221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL 32169-5298
(386) 423-0442
(386) 423-0402
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6889
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY6889
FL
Other
Enumeration date
06/13/2007
Last updated
08/29/2008
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